Organization
MANAGED ACCESS TO CHILD HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE C VENIARD (PROGRAM ADMINISTRATOR)
(904) 360-7070
Entity
Organization
Contact information
Practice address
910 N JEFFERSON ST, JACKSONVILLE, FL 32209-6810
(904) 360-7070
(904) 798-4559
Mailing address
910 N JEFFERSON ST, JACKSONVILLE, FL 32209-6810
(904) 360-7070
(904) 798-4559
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
231H00000X
Audiologist
—
—
251B00000X
Case Management Agency
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8863585700
—
FL
Enumeration date
03/27/2006
Last updated
09/11/2025
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